PMID- 34145003
OWN - NLM
STAT- MEDLINE
DCOM- 20210624
LR  - 20210702
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 11
IP  - 6
DP  - 2021 Jun 18
TI  - Caregiver burden versus intensity of anxiety and depression symptoms in parents 
      of children with cerebral palsy as well as factors potentially differentiating 
      the level of burden: a cross-sectional study (Poland).
PG  - e036494
LID - 10.1136/bmjopen-2019-036494 [doi]
LID - e036494
AB  - OBJECTIVES: To assess the relationship between caregiver burden and severity of 
      symptoms of anxiety/depression in parents of children with cerebral palsy (CP), 
      and to identify factors differentiating the level of caregiver burden. SETTING: 
      Regional rehabilitation centres in South-Eastern Poland. PARTICIPANTS: The study 
      involved 190 parents of children with CP, that is, 138 women and 52 men. PRIMARY 
      AND SECONDARY OUTCOME MEASURES: Caregiver burden was assessed using Caregiver 
      Burden Scale (CBS), while the intensity of anxiety and depression symptoms was 
      measured using Hospital Anxiety and Depression Scale (HADS). Potential predictors 
      were examined using Gross Motor Function Classification System for Cerebral Palsy 
      (GMFCS), Barthel Index (BI) as well as a questionnaire focusing on the 
      characteristics of the child, the parent and the family. The analyses applied 
      Pearson's linear correlation coefficient as well as multiple regression analysis. 
      RESULTS: All the CBS measures are significantly correlated to HADS-A (anxiety) 
      and HADS-D (depression). Intensity of anxiety is most visibly linked to CBS 
      measures of disappointment and environment (p<0.0001), while severity of 
      depression is related to emotional involvement and general strain (p<0.0001). The 
      factors differentiating caregiver burden measure in the subscales of general 
      strain (p<0.0001) and social isolation (p<0.0001) include the child's age and BI, 
      and the parent's health status; in the subscale of disappointment (p<0.0001)-the 
      child's age, BI, GMFCS, as well as the parent's age and health status; in the 
      subscale of emotional involvement (p=0.0007)-BI, and the parent's health status; 
      in the subscale of environment (p=0.0002)-the child's age and BI. CONCLUSIONS: 
      There is a positive linear relationship between the caregiver burden measures and 
      severity of anxiety and depression. Effort should be made to relieve caregiver 
      burden in parents of children with CP.
CI  - (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Gugala, Barbara
AU  - Gugala B
AUID- ORCID: 0000-0001-5807-0595
AD  - Medical College, University of Rzeszow, Rzeszow, Poland bgugala@ur.edu.pl.
LA  - eng
PT  - Journal Article
DEP - 20210618
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Anxiety
MH  - Caregiver Burden
MH  - Caregivers
MH  - *Cerebral Palsy
MH  - Child
MH  - Cross-Sectional Studies
MH  - *Depression
MH  - Female
MH  - Humans
MH  - Male
MH  - Parents
MH  - Poland
MH  - Surveys and Questionnaires
PMC - PMC8215253
OTO - NOTNLM
OT  - anxiety disorders
OT  - depression & mood disorders
OT  - preventive medicine
OT  - public health
COIS- Competing interests: None declared.
EDAT- 2021/06/20 06:00
MHDA- 2021/06/25 06:00
PMCR- 2021/06/18
CRDT- 2021/06/19 05:39
PHST- 2021/06/19 05:39 [entrez]
PHST- 2021/06/20 06:00 [pubmed]
PHST- 2021/06/25 06:00 [medline]
PHST- 2021/06/18 00:00 [pmc-release]
AID - bmjopen-2019-036494 [pii]
AID - 10.1136/bmjopen-2019-036494 [doi]
PST - epublish
SO  - BMJ Open. 2021 Jun 18;11(6):e036494. doi: 10.1136/bmjopen-2019-036494.